Total Hip Arthroplasty and Acetabular Bone Grafting for Unreduced Fracture-Dislocation of the Hip

Malkin, C.; Tauber, C.

doi:10.1097/00003086-198512000-00009

Cited by 28 publications

(13 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Both of these methods involve significant delays to mobilization, and in either case, if the patient survives and has hip pain, a THA often is carried out electively at a later date. Other options have been reported, including early fixation and delayed arthroplasty or acute arthroplasty [1,2,13,16,21,25,31,35], but we are not aware of any series of such patients where initial management has allowed immediate full weightbearing.…”

Section: Introductionmentioning

confidence: 99%

Managing Acetabular Fractures in the Elderly With Fixation and Primary Arthroplasty: Aiming for Early Weightbearing

Rickman

Young

Trompeter

et al. 2014

Clinical Orthopaedics &Amp; Related Research

101

View full text Add to dashboard Cite

Background Osteoporotic acetabular fractures in the elderly are becoming more common. Regardless of treatment, most patients are managed with a period of protected weightbearing, even if a THA has been performed. We have tried to treat these patients analogously to geriatric femoral neck fractures in a way that allows immediate full weightbearing. Questions/purposes We determined return to mobility, length of hospital stay (LOS), radiographic outcomes, and complications in a series of elderly osteoporotic patients treated for acetabular fractures with early fracture fixation and simultaneous THA, allowing full weightbearing immediately postoperatively. Methods Since 2009, one surgeon (MR) used a consistent approach for fracture fixation and THA with immediate weightbearing in all patients older than 65 years with acetabular fractures who were fit for surgery and whose injuries were deemed osteoporotic fractures (low-energy mechanisms) meeting particular radiographic criteria (significant marginal impaction or femoral head damage). Twenty-four patients met these criteria and were reviewed at a mean of 24 months (range, 8-38 months). Mean age was 77 years (range, 63-90 years), and eight patients were women. The surgical technique included plate stabilization of both acetabular columns plus simultaneous THA using a tantalum socket and a cemented femoral stem. Clinical and note reviews were conducted to ascertain return to mobility, LOS, and postoperative complications. Component migration and fracture healing were assessed on plain radiographs.

show abstract

Section: Introductionmentioning

confidence: 99%

Managing Acetabular Fractures in the Elderly With Fixation and Primary Arthroplasty: Aiming for Early Weightbearing

Rickman

Young

Trompeter

et al. 2014

Clinical Orthopaedics &Amp; Related Research

101

View full text Add to dashboard Cite

show abstract

“…In casi più complessi (pseudoartrosi sul piano orizzontale o su più piani), l'artroplastica richiede uno o più interventi preventivi di sintesi cotiloidea, come nel caso da noi presentato, pena un fallimento precoce dell'impianto in relazione alla mancata consolidazione [15,[27][28][29]. A cotile stabilizzato, qualora residui un allargamento concentrico senza interruzione di parete, il problema può essere risolto semplicemente adottando una coppa di grandi dimensioni al fine di ricercare un buon ancoraggio.…”

Section: Artroprotesiunclassified

La pseudoartrosi cotiloidea: una complicanza di difficile soluzione chirurgica. Descrizione di un caso clinico

Bellis

Giussani

Fischer

2010

Arch Ortop Reumatol

View full text Add to dashboard Cite

“…Die Osteosynthese mit gleichzeitiger oder auch frühsekundärer TEP-Implantation ist dagegen sinnvoll bei Hüft-pfannenbrüchen mit ipsilateraler Schenkelhals-oder Hüftkopffraktur, bei ausgeprägter vorbestehender Koxarthrose, bei Frakturen, bei denen nach primär osteosynthetischer Versorgung signifikante Gelenkstufen oder Defekte im Pfannendach verbleiben, oder auch, wenn der Patient bei ausgeprägter Osteoporose die verletzte Seite postoperativ nicht entlasten kann [3,4,6,13,16].…”

Section: Diskussionunclassified

Acetabulumfrakturen im Alter

Hessmann¹,

Nijs²,

Rommens³

2002

Der Unfallchirurg

View full text Add to dashboard Cite

Acetabular fractures in elderly patients are rare injuries, but their incidence is increasing. Poor bone quality due to osteoporosis and an increased operative risk due to concomitant disease are factors complicating surgical therapy. Literature does not provide generally accepted treatment protocols. In a 4-year period, 27 patients who were 65 years or older and who had an acute displaced fracture of the acetabulum were admitted to our department. Four minimally displaced and stable fractures were managed conservatively. Internal fixation was performed in 16 cases. According to the Merle d'Aubigné score, in 15 out of 18 surviving patients excellent or good results were found. Treatment strategy should be planned individually for each fracture, taking into account the patients biological age and general condition, fracture type, bone quality and associated injuries. Primary endoprosthetic replacement should only be considered when the acetabular bone stock allows stable cup fixation. Osteosynthesis in combination with early endoprosthetic replacement should be considered in acetabular fractures with associated femoral head or neck fractures or when significant articular steps and/or bone defects remain after open reduction and internal fixation.

show abstract

Total Hip Arthroplasty and Acetabular Bone Grafting for Unreduced Fracture-Dislocation of the Hip

Cited by 28 publications

References 0 publications

Managing Acetabular Fractures in the Elderly With Fixation and Primary Arthroplasty: Aiming for Early Weightbearing

Managing Acetabular Fractures in the Elderly With Fixation and Primary Arthroplasty: Aiming for Early Weightbearing

La pseudoartrosi cotiloidea: una complicanza di difficile soluzione chirurgica. Descrizione di un caso clinico

Acetabulumfrakturen im Alter

Contact Info

Product

Resources

About